Targeting repetitive intrusive suicidal images and thoughts: towards a new suicide prevention strategy (Simagery)

Reducing suicidal intrusions in depressed patients through an eye movement dual task in a multicenter parallel two-group randomized design

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN17404612

Enrollment

Registered

2022-08-26

Start date

2018-11-27

Completion date

Unknown

Last updated

2024-09-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Suicidal intrusions in psychiatric outpatients with elevated levels of depression and suicidal ideation Mental and Behavioural Disorders

Interventions

Patients are randomized on a 1:1 basis (stratified for mental health care institution) using a block randomization module in an electronic data capture system (Castor EDC): 1. Comparison group: treatm

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Minimum age of 18 years 2. Score >20 on the Beck Depression Inventory 3. Have suicidal ideation: score >1 on the Suicidal Ideation Attributes Scale (SIDAS) 4. Currently receiving treatment (care-as-usual) at GGZ instelling 5. Adequate proficiency in the Dutch language 6. Have suicidal intrusions that are experienced as a burden

Exclusion criteria

Exclusion criteria: 1. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) Psychotic disorder diagnosis 2. DSM-IV Depression with psychotic features diagnosis 3. DSM-IV Bipolar disorder diagnosis 4. High dropout risk (i.e. poor response rate when trying to get in contact with the potential participant) In case their current therapist judges the overall complexity of trauma present, he or she can advise not to include despite the participant meeting the inclusion criteria

Design outcomes

Primary

Measure	Time frame
Frequency (Clinical Interview for Suicidal Intrusions; CISI) and severity (Suicidal Intrusions Attributes Scale; SINAS) of suicidal intrusions measured at baseline, 1-week post-treatment, 3, 6, 9 and 12 months follow up	—

Secondary

Measure	Time frame
1. Suicidal ideation measured using Suicidal Ideation Attributes Scale (SINAS) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 2. Depressive symptoms measured using Beck Depression Inventory-II (BDI-II) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 3. Quality of life measured using EQ-5D-5L at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 4. Societal costs measured using Trimbos/iMTA questionnaire for Costs associated with Psychiatric Illness (TiC-P) at baseline, 3-month, and 12-month follow-up 5. Rumination measured using Ruminative Response Scale (RRS) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 6. Hopelessness measured using Beck Hopelessness Scale (BHS) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up	—

Measure

Time frame

1. Suicidal ideation measured using Suicidal Ideation Attributes Scale (SINAS) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 2. Depressive symptoms measured using Beck Depression Inventory-II (BDI-II) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 3. Quality of life measured using EQ-5D-5L at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 4. Societal costs measured using Trimbos/iMTA questionnaire for Costs associated with Psychiatric Illness (TiC-P) at baseline, 3-month, and 12-month follow-up 5. Rumination measured using Ruminative Response Scale (RRS) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up 6. Hopelessness measured using Beck Hopelessness Scale (BHS) at baseline, 1-week post-treatment, 3, 6, 9 and 12 month follow-up

—

Countries

Netherlands

Contacts

Public ContactJael van Bentum

j.s.vanbentum@uu.nl+31 (0)30 2533550

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026